Choosing the right care home

Considering a move into nursing or residential care is a big decision at what is often a difficult time. There are so many elements that need to be factored in so you can be confident of making the right choice for you or your loved one.

To support you in your search, we’ve put together this article based on the many questions we have received by those searching for a care home over the last 40 years.

There is also a handy Care Home Checklist which you can download and take with you when visiting homes for a tour. This helps you compare homes and find the one that ticks all the right boxes.

Tips For Finding a Care Home

When searching for a care home, these are some of the key elements to consider:

Location

What areas are you open to, and which care homes are available there?

Funding

How will the care home costs be covered?

Facilities

What are the bedrooms, communal areas, and gardens like?

Care Needs

What level of care is required? Does the care home provide this, and is it of a high standard?

Activities

Does the care home offer a variety of activities that suit residents’ interests and abilities? Are there social events, outings, and opportunities for engagement?

Availability

Is there space currently available?

Understanding the Different Types of Care

The first and most important consideration at the beginning of your search for a care home should be to understand whether a home is going to be able to meet the care needs of you or your loved one.

There are several different types of care service offered within care homes, which can be owned by private providers, local authorities, or voluntary organisations. Not all care services are are available within every home, and some specialist homes may only offer one type of care service, such as dedicated dementia homes

Having a good understanding of your care requirements will help you eliminate any care homes that may not be able to meet your needs.

The different types of care available are:

Residential Care

Residential care services are designed to provide a comfortable and relaxed home environment. This type of home would be suitable for someone who is perhaps looking to maintain an independent lifestyle within a community, and receive day to day support with things such as laundry, cooking or housekeeping.

Assisted Care

Assisted Care is for residents who require a little extra daily support to maintain their physical care and comfort. This can include personal care such as washing and dressing, and the giving of medication by specially trained staff member.

Nursing Care

Care homes that are capable of providing nursing care will be able to support residents who have more complex medical needs and longer term conditions that require day to day management. Some nursing care homes have Registered Nurses on-site at all times, whereas others bring in outside nursing support as and when required.

Short Stay and Respite Care

Short Stay and Respite Care offers temporary accommodation for those who need a break from their usual routine or for caregivers seeking relief. It is also available to those requiring an extended period of recovery after an operation or hospital admission.

Dementia Care

For those living with dementia, there will be a need for dedicated dementia care. These homes will have staff trained in dementia care and have facilities specifically designed to create a safe, calm and engaging environment.

Still Not Sure Where To Start?

If you’re not sure where to start, talking with a professional such as your GP or social services will help you to gain a better understanding of the care type that would be needed. They may already know your family member and in any event are best placed to assess the need for residential, nursing and dementia care. They can also talk through any other options that may be available. Also, teams within the care homes can often assess whether they can provide the level of care required.

Living Spaces & Facilities

Although a care home can’t replace a family home, they can offer a warm and welcoming environment where residents will feel safe and comfortable. Having an idea of what is most important to you and your loved one will help to find a care home that will provide a setting that will feel like home.

It’s also important to consider how well maintained even the basic facilities are. Is the garden well maintained? Are the walls, carpets, and furniture as stain-free as you would expect? And does the building itself look well maintained?

Personal Living Spaces

Personal living spaces will vary from home to home. The size of bedrooms can differ widely, as can the facilities available such as en-suite bathrooms, lounges, and kitchenettes. Some homes will allow you to bring your own furniture and other cherished possessions to add that personal touch, however it’s important to check what can be brought to the home first.

Communal Living Spaces

Communal living spaces are often the heart of a home, where residents can spend time catching up over coffee and cake, take part in a range of activities or spend some quiet time reading a newspaper or favourite book. A welcoming care home environment should always include attractive and carefully designed day spaces or communal areas. Spend time viewing these spaces to make sure they are warm, welcoming and homely environments that residents enjoy spending time in.

Additional Facilities

Some care homes have additional facilities such as hairdressing salons, cinema rooms, therapy rooms and libraries, and this is also important to consider when searching for a home.

Further Important Considerations

Understanding Food and Nutrition in Care Homes

Good nutrition is vital to overall health and wellbeing, particularly in a care home setting where nutritional needs can vary widely for older people. Care homes should cater to a range of dietary requirements, including allergies, preferences, and any cultural or religious food restrictions. High-quality care homes will have well-structured meal plans that ensure all residents receive nutritious meals tailored to their health conditions.

In addition to ensuring the food meets dietary needs, the overall dining experience is also important. Many care homes offer meals in communal dining rooms, providing a social aspect to mealtimes, while others give residents the choice to dine in their private rooms for more personal comfort. Guests can often join residents for special occasions like birthdays or anniversaries, creating a home-like atmosphere.

Consider asking how the care home screens for malnutrition and manages nutrition for residents who may require additional support, such as those with dementia or chronic illnesses.

Finding a Care Home that Supports an Active and Engaging Lifestyle

Maintaining an active and fulfilling lifestyle is key to promoting physical and mental wellbeing in a care home. Residents should be encouraged to stay engaged with their personal hobbies, as well as being introduced to new activities that stimulate cognitive and physical health.

According to the National Institute for Health and Care Excellence (NICE), care homes should offer a range of meaningful activities that cater to individual preferences and abilities, promoting independence wherever possible. Their quality standard for ‘Mental wellbeing of older people in care homes’ states that care homes should offer residents the opportunity to participate in meaningful activity that promotes their health and mental wellbeing.

A balance of structured and spontaneous activities helps create a vibrant atmosphere. Care homes often provide opportunities for residents to take part in gardening, singing, arts and crafts, exercise classes, and social gatherings. Many also offer day trips and outings to local attractions. Daily living tasks, like light housekeeping or preparing simple meals, can also help residents feel a sense of purpose.

When considering a care home, ask about the variety of activities on offer and how frequently they occur. Additionally, check whether family or friends can join in on certain events.

Find Out About The Approach to Care

A personalised approach to care is crucial for ensuring each resident feels valued and receives the attention they need. A good care home will involve both the resident and their family in creating a detailed and individualised care plan. This care plan should consider the resident’s health requirements, personal interests, life history, and cultural or religious beliefs, allowing staff to provide care that feels both appropriate and familiar to the individual.

It’s essential to confirm that the care home has systems in place to regularly review and update these care plans, adjusting as needed for changes in health or preferences. The staff should be proactive in recognising any physical or medical concerns and have close relationships with healthcare professionals to ensure ongoing support.

During your visit, ask how care plans are developed, who is involved in the process, and how frequently they are reviewed. Understanding the home’s approach to recognising and addressing the evolving needs of residents will give you confidence in the quality of care provided.

Look at the Care Home’s CQC Rating

Care homes in the UK are regulated and inspected by the Care Quality Commission (CQC). The CQC’s ratings provide an invaluable resource when comparing care homes and deciding which one best meets the needs of your relative or loved one. The CQC awards ratings based on its inspections, which evaluate the overall quality of care provided.

There are four possible ratings that care homes can receive:

  • Outstanding: The care home is performing exceptionally well.
  • Good: The care home meets the required standards and provides a high quality of care.
  • Requires Improvement: The care home meets some of the required standards but needs to improve in certain areas.
  • Inadequate: The care home is failing to meet the minimum standards of care and needs urgent improvement.

During inspections, the CQC assesses care homes based on five key questions to determine their rating:

  1. Are they safe? – How well does the care home protect residents from harm or abuse?
  2. Are they effective? – Does the care home ensure that residents’ needs are met and their health and wellbeing are supported?
  3. Are they caring? – Are residents treated with kindness, dignity, and respect?
  4. Are they responsive to people’s needs? – How well does the care home adapt to residents’ changing needs and preferences?
  5. Are they well-led? – Is the care home managed effectively, ensuring high standards of care and continuous improvement?

These ratings are a helpful indicator of how well a care home performs in critical areas, and you can usually find the latest CQC report on the care home’s website or the CQC’s own website. When choosing a care home, it’s important to review these ratings and understand the reasons behind them to make an informed decision.

Check Customer Reviews

Reading reviews from relatives, friends, and residents who have first-hand experience with a care home can offer valuable insights into what life is really like there. These reviews can range from positive to negative, long to short, and detailed to brief. Some will provide a wealth of useful information, while others may be less specific, but they all contribute to a fuller picture of the care home’s overall reputation.

Care home reviews are typically available in various places:

  • Care home marketing materials: Many care homes include testimonials or case studies from families in their brochures or on their website.
  • Online review platforms: Websites like carehome.co.uk, Trustpilot, and Google feature detailed reviews from people with direct experience of the home. These platforms allow you to search for specific care homes and see how they’ve been rated by others.

When researching a care home, it’s a good idea to look through multiple sources of reviews to get a balanced view. Pay attention to any recurring themes, both positive and negative, as these often provide the most reliable insight into the home’s strengths and areas for improvement.

Work Out Your Budget and How It Will Be Funded

Understanding the financial aspects of care home services is essential when making your decision. The costs of care can vary widely depending on the type of care needed, the location of the home, and the facilities available. Here are some key points to consider:

  • Funding Options: Many families explore various funding options, including personal savings, pensions, and property assets. Some may also be eligible for financial support from local authorities or government schemes.
  • Self-Funding vs. Local Authority Funding: If your savings exceed a certain threshold, you may need to self-fund your care. However, if your savings are below this threshold, you may qualify for local authority funding, which can help cover care costs.
  • Assessment Process: Local authorities typically conduct assessments to determine an individual’s care needs and eligibility for financial support. It’s advisable to contact your local council to find out more about the assessment process and potential funding available.
  • Costs to Expect: On average, residential care can range from £800 to £3,000 per month, depending on the level of care required and the home’s amenities. Make sure to ask potential care homes about their pricing structure and any additional fees.
  • Transparency: Always request a detailed breakdown of costs from care homes to ensure there are no hidden fees. Understanding the full financial commitment will help you make an informed choice.

Learn more about the different funding options available for care home services. Visit our page on paying for care to explore your choices.

Finding More Information about Care Homes

To gain a well-rounded view of care homes in your area, it’s helpful to consult several trusted sources. One of the key resources is the Care Quality Commission (CQC), the sector regulator that maintains comprehensive lists of care homes and publishes independent inspection reports. You can use the CQC website to search for care homes, review their ratings, and explore detailed reports from recent inspections.

Age UK is another valuable resource, offering guidance and advice on finding a care home and exploring other care options that may be suitable.

Finding a Dementia Care Home

Additionally, for those seeking specific information on dementia care, the Alzheimer’s Society provides expert advice, real-life stories, and the latest research related to dementia, all of which can support your decision-making process.

Find a care home that ticks all the right boxes

To support you in your search for a care home, we have put together the following checklist that highlights the key areas to consider when viewing different homes, and help you make the best informed choice.

We’re Here To Help

Whether you’d like an initial chat about care types, you have a question about fees, or you’d like more information in your search for a home, we’re here to help.